77 Ill. Adm. Code 225.3010
Resident Comprehensive Care Plan
Section 225
Section 225.3010Â Resident
Comprehensive Care Plan
a)
An Alzheimer's Disease Management Center shall develop and
implement an ongoing treatment plan for each resident. The treatment plan
shall have defined goals.
(Section 35(5) of the Act)
b)Â Â Â Â Â Â Â Â The comprehensive care plan shall be implemented within 24
hours after the resident's admission to the facility based on the pre-admission
assessment.
c)Â Â Â Â Â Â Â Â The comprehensive care plan shall be revised as needed based
on assessments conducted in accordance with Section 225.3000 of this Part.
d)Â Â Â Â Â Â Â Â The comprehensive care plan shall include, at a minimum:
1)Â Â Â Â Â Â Â Â Staging of the resident based on cognitive study;
2)Â Â Â Â Â Â Â Â Assignment to a care manager;
3)Â Â Â Â Â Â Â Â Dietary prescription; and
4)Â Â Â Â Â Â Â Â Activities provided throughout the day and evening.
e)Â Â Â Â Â Â Â Â The facility shall define the members of the care team who
will develop and review the plan. The members of the team shall include, at a
minimum:
1)Â Â Â Â Â Â Â Â The resident;
2)Â Â Â Â Â Â Â Â Resident representative, if he/she chooses to participate, and
any other persons chosen by the resident;
3)Â Â Â Â Â Â Â Â A person assigned to coordinate services for the person (care
manager);
4)Â Â Â Â Â Â Â Â A nurse; and
5)Â Â Â Â Â Â Â Â Persons providing services for the resident, based on the
assessment.
f)Â Â Â Â Â Â Â Â The care team shall meet at least every 30 days to implement
and modify the care plan as needed. The care manager shall ensure that the
comprehensive care plan is implemented and that the appropriate services are
coordinated to ensure that the comprehensive care plan is followed.